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. 2020 Nov;28(6):871-883.
doi: 10.1002/erv.2784. Epub 2020 Sep 20.

COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity-A collaborative international study

Fernando Fernández-Aranda  1   2   3 , Lucero Munguía  1   3 , Gemma Mestre-Bach  1   4 , Trevor Steward  5 , Mikel Etxandi  1 , Isabel Baenas  1   2 , Roser Granero  2   6 , Isabel Sánchez  1   2 , Emilio Ortega  7   8 , Alba Andreu  7 , Violeta L Moize  7   8 , Jose M Fernández-Real  2   9 , Francisco J Tinahones  2   10 , Carlos Diegüez  2   11 , Gema Frühbeck  2   12 , Daniel Le Grange  13 , Kate Tchanturia  14   15 , Andreas Karwautz  16 , Michael Zeiler  16 , Angela Favaro  17 , Laurence Claes  18   19 , Koen Luyckx  19   20 , Ia Shekriladze  15 , Eduardo Serrano-Troncoso  21 , Teresa Rangil  22   23 , Maria Eulalia Loran Meler  22 , Jose Soriano-Pacheco  24   25 , Mar Carceller-Sindreu  24   25 , Sara Bujalance-Arguijo  26 , Meritxell Lozano  27 , Raquel Linares  27 , Carlota Gudiol  3   28   29 , Jordi Carratala  3   28   29 , Jessica Sanchez-Gonzalez  1 , Paulo Pp Machado  30 , Anders Håkansson  31   32 , Ferenc Túry  33 , Bea Pászthy  33   34 , Daniel Stein  35 , Hana Papezová  36 , Brigita Bax  37 , Mikhail F Borisenkov  38 , Sergey V Popov  38 , Youl-Ri Kim  39 , Michiko Nakazato  40 , Nathalie Godart  41   42   43 , Robert van Voren  44 , Tetiana Ilnytska  45 , Jue Chen  46 , Katie Rowlands  14 , Janet Treasure  14 , Susana Jiménez-Murcia  1   2   3
Affiliations

COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity-A collaborative international study

Fernando Fernández-Aranda et al. Eur Eat Disord Rev. 2020 Nov.

Abstract

Confinement during the COVID-19 pandemic is expected to have a serious and complex impact on the mental health of patients with an eating disorder (ED) and of patients with obesity. The present manuscript has the following aims: (1) to analyse the psychometric properties of the COVID Isolation Eating Scale (CIES), (2) to explore changes that occurred due to confinement in eating symptomatology; and (3) to explore the general acceptation of the use of telemedicine during confinement. The sample comprised 121 participants (87 ED patients and 34 patients with obesity) recruited from six different centres. Confirmatory Factor Analyses (CFA) tested the rational-theoretical structure of the CIES. Adequate goodness-of-fit was obtained for the confirmatory factor analysis, and Cronbach alpha values ranged from good to excellent. Regarding the effects of confinement, positive and negative impacts of the confinement depends of the eating disorder subtype. Patients with anorexia nervosa (AN) and with obesity endorsed a positive response to treatment during confinement, no significant changes were found in bulimia nervosa (BN) patients, whereas Other Specified Feeding or Eating Disorder (OSFED) patients endorsed an increase in eating symptomatology and in psychopathology. Furthermore, AN patients expressed the greatest dissatisfaction and accommodation difficulty with remote therapy when compared with the previously provided face-to-face therapy. The present study provides empirical evidence on the psychometric robustness of the CIES tool and shows that a negative confinement impact was associated with ED subtype, whereas OSFED patients showed the highest impairment in eating symptomatology and in psychopathology.

Keywords: COVID Isolation Eating Scale; COVID-19; eating disorders; obesity.

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Figures

FIGURE 1
FIGURE 1
Differences (post‐pre changes) in weight, BMI and CIES factors amongst the groups [Colour figure can be viewed at wileyonlinelibrary.com]
See this image and copyright information in PMC

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